Active NPI
Donna Jean Destaso
- Physician Assistant
- Englewood Cliffs, NJ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 25MP00579800
- Practice address
- 910 Sylvan Ave Ste 100
Englewood Cliffs, NJ 07632-3308 - Phone
- (201) 569-2770
- NPI assigned
- Jul 22, 2020
- Last updated
- Dec 26, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 25MP00579800 | NJ | Primary |
Addresses
Primary practice location
910 Sylvan Ave Ste 100
Englewood Cliffs, NJ 07632-3308
Mailing address
302 Hopper CT
Franklin Lakes, NJ 07417-1143
Phone (201) 805-3763
Other practice location 1
4422 3rd Ave
Bronx, NY 10457-2545
Phone (201) 805-3763
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY, NJ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (718) 960-6205
4422 3Rd Ave
Bronx, NY 10457-2545
Phone (718) 960-6214
4487 3Rd Ave
Bronx, NY 10457-1526
Phone (718) 960-6392
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.09 of 100
- Quality
- 86.89
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SBH Physicians, PC | Current | Accepting new patients | |
| Gianna Scaglione PA-C LLC | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
4422 3rd Ave
Bronx, NY 10457
Phone (718) 960-3917
4487 3rd Ave
Bronx, NY 10457
Phone (718) 960-3730
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- ddestaso18888@sbhny.direct-ci.net
Organizations & group practices 5
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Internal Medicine Physician
- Bronx, NY
- NPI 1740595917
-
- Internal Medicine Physician
- Englewood, NJ
- NPI 1952681918
-
- Surgical Physician Assistant
- Morristown, NJ
- NPI 1578314738
-
- Pediatrics Physician
- Bronx, NY
- NPI 1457665937
-
- Surgical Physician Assistant
- Morristown, NJ
- NPI 1639796154
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1548367873
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1595376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703548800000",
"number": "1194333534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "302 HOPPER CT",
"city": "FRANKLIN LAKES",
"state": "NJ",
"postal_code": "074171143",
"telephone_number": "201-805-3763"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "910 SYLVAN AVE STE 100",
"city": "ENGLEWOOD CLIFFS",
"state": "NJ",
"postal_code": "076323308",
"telephone_number": "201-569-2770"
}
],
"practiceLocations": [
{
"address_1": "4422 3rd Ave",
"address_purpose": "LOCATION",
"city": "Bronx",
"state": "NY",
"postal_code": "104572545",
"country_code": "US",
"telephone_number": "201-805-3763",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DESTASO",
"first_name": "DONNA",
"middle_name": "JEAN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-07-22",
"last_updated": "2023-12-26",
"certification_date": "2023-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NJ",
"license": "25MP00579800",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Englewood Cliffs, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.